Active NPI
Peter Eugene Dewitt, M.D.
- Family Medicine Physician
- McPherson, KS
National Provider Identifier
1033138300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-24422
- Practice address
- 1101 N Main St
McPherson, KS 67460-2845 - Phone
- (620) 241-4477
- Fax
- (620) 241-2716
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-24422 | KS | Primary |
Addresses
Primary practice location
1101 N Main St
McPherson, KS 67460-2845
Mailing address
1101 N Main St
McPherson, KS 67460-2845
Phone (620) 241-4477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100166460D | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240724002559 | OK | Order and Referring Only - Family Practice | 9234127051 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-24422 | KS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1033138300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N MAIN ST",
"city": "MCPHERSON",
"state": "KS",
"postal_code": "674602845",
"telephone_number": "620-241-4477",
"fax_number": "620-241-2716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N MAIN ST",
"city": "MCPHERSON",
"state": "KS",
"postal_code": "674602845",
"telephone_number": "620-241-4477",
"fax_number": "620-241-2716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWITT",
"first_name": "PETER",
"middle_name": "EUGENE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-24422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100166460D",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in McPherson, KS
- Abigail Kathleen Degan, APRN
- Deseret Nursing and Rehabilitation at McPherson
- Deseret Nursing and Rehabilitation at McPherson
- Dewitt Family Medicine LLC
- Macy Dewitt, CF-SLP
- Karrie Dickman
- Dillon Companies LLC (Dillon's Pharmacy #036)
- Disability Supports of the Great Plains, Inc.
- Dr Esther Rettig MD PA
- Earcare of McPherson, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.